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v i CITY OF PRIOR LAKE
prparfmi ttf of Puittring jittsprtfion
4` ❑ Final Permitted ❑ Conditional C.O. Exp y
�r This Certificate issued pursuant to the requirements of Section 1 10 of the ❑ Residential l ❑ International � l,
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following: '
Bldg. Permit No. 13-0711 s l l
c, use classification SINGLE FAM 1LY g FUSD
r N ,ti
Occupancy Type ' Type Construct v ly Zon District
Legal Description
111, B1, THE COVES OF NORTHWOOD MEADOWS
���' 16474 HAWK RIDGE COURT
Owner of Building Site Address ,")
tO'Ill CONSTRUCTION-4 If I �tf..
Contractor's Name &Address TONE COTTAGE CO TIN, ,
ROBERT D . HUTCH I NS City Planner �,:�
B uilding Official
{''h Date: 8 � r_ I I Date: tf0
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() PRIO, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
..,,/ ` \ ' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3
\ / _ - .._.._ - \\, AND UTILITY CONNECTION PERMIT Z. 13.1
.4;746
I. White File PERMIT NO.
2 Pink City 3 Yellow Applicant �� 2 / /
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
104 W y-i c4 c44, C u IA, v+ Past)
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ADDITION iv it li ( VC 64- NO alnw)OCk pauctoM PID 2J4 LQ2.0 I\ 0
OWNER , -p (p� (01/1(1+111\A. ({� i %'2 385 1.36 1
(Name) J 1 u 1 ► l) [AIM V V\ (. • (Phone)
(Address) [kb Evil Jv y'"MI i * y00 1 ''' t " I " t VW-( 1 AN 5517A
BUILDER h r r —'? A • (Company Name) C �"e CO j kCi , U f �S"1 1 t.' L � r (� V - (Phone) c v;l — ; I
(Contact Name) TA U , K c vi1U VI (Phone) U 7 t /U I 1 U 3 3
(Address) Ali 1 01 A di ► 4 1 i 0 1 ' t '' r i
TYPE OF WORK New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish 1:] Fireplace
❑ ddition ❑Alteration ❑Utility Connection
CODE: R.C. ❑I.B.C. ❑ Misc:
Type of C (ruction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 2
_
Division: 1 2 3 4 5 (excluding land)
I hereby certify t I have fu .' e. formation on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the
above - mentione property . d t p .11 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
ffi
ocial can revo e this p: mit t cause. Furthermore, I ereb s a �, e S`�$ne t the city official or a designee may enter upon the property to perform needed ins ection .
/ urt Ipre
X Cottage Construction, Inc. C (P'') 871 1 `1 3 13
Signature Contractor's License No. Date
Permit Valuation ) - Park Support Fee # $ ,
Permit Fee $ z ; J �, SAC # $ a435. 00
Plan Check Fee $ 14 - 33' Water Meter Size 5/8 "; 1 "; $ 480 00
State Surcharge $ 1.4 - - Pressure Reducer $ / / 0. 0 0
Penalty $ Sewer /Water Connection Fee # $ / i ` Op
Plumbing Permit Fee $ /54. 50 Water Tower Fee $ / DOO
Mechanical Permit Fee $ /L/ a Cb Builder's Deposit $ 2 500 •
Sewer & Water Permit Fee $ 64 a 5'7, Other $
Gas Fireplace Permit Fee $ 54- • So TOTAL DUE# L D 3.z*• $/2, .3Da O S
This Ap ! ation B: o .i es Y. . Building Permit en App •. ved Paid /2 U- U� Celpt NO. �� � —
v / `) 2, Date :� ? , /�
. /a..,L!
Building Official -.— Date
This is to certify t at the r,.uest in the above application and accompanying docu - nts is in . ccordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b il. e Ci anner constitutes a temporary Certificate of Zoning co • .liance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. /411
Planning Director Date Special Conditions, if any
—
24 o r notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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° � ie Builders Deposit
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soo- City of Prior Lake
A $2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to
insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but
not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180
days after the date the building permit is issued. If the work is not complete within the 180 day time period, the
City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2,500.00
builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the
situation.
A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of
one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control
requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors
handout.
DATE: - ITE ADDRESS: \ 1. A 4 A ANY-- 1-1U11 , (,cvU'4- PERMIT # 13 Z' 1
REFUND TO BE MAILED TO: V 1O it01 # C A 0 V\
it/ ' L1► 7-k
AUTHORIZATION TO RELEASE
PLEASE REMEMBER
*2500. oc)
_ynd S. Allen Bu Services Amount
1. KEEP STREETS CLEAN DURING CONSTRUCTION Acct. 801.20204
Da e
2. KEEP EROSION ONT: • L I PLACE
3. TEMPORARY O f CU'AN • ERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED
President, Stone
Cottage Construction. Ink.
SIGNATURE:
THIS, CHECK IS VOID WITHOUT A COLORED BACKGROUND AND. AN ARTIFICIAL WATERMARK ON THE BACK -: HOLD AT ANGLE TO VIEW
{
Stone Cottage ANCHOR BANK 8261
Construction, Inc. 14665 GALAXIE AVENUE
,:3.� " - APPLE VALLEY, MN 55124
14815 ENERGY WAY, SUITE 200 3/26/2013
74 1523/960
APPLE VALLEY, MN 55124 -5757 DATE
PAY
TO THE City of Prior Lake * *12,230.08
ORDER OF `r $
Twelve Thousand Two Hundred Thirty and 08/ 100* *************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DOLLARS
City of Prior Lake
4646 Dakota Street NE
Prior Lake, MN 55372
MEMO \� Cc sr
ll' 1 :0960L52321:L00055 L 7211'
J :IFORMS\BUILDERS DEPOSIT FORM.DOC
Residential Building Permit Checklist
New Constructio for Single or Two - family Dwellings in R -1 o R -2 Dis icts
Reviewed by: Date: 3 zs /'s
Building Permit # -EIQ: Zoning: �i�
Address: ( 6 il '1- 1--\-A,-) ■< - 1Z \ C-1--. P
Legal: L , B Subdivision:
•
Existing Structure? YES ,6 . Existing Nonconforming Structure? YES 1 NO
CONFORMS TO ZONING NO
ORDINANCE 3/Z e7/3
I Yard Setbacks: NA / FAILS/ CO L S Standard Proposed i
• Front Yard (can be 20' if avg /i 150') 25' —3.z6-0-__ 30 ..S
• Side Yards 10'1
25' if abutting a street 1-c; _ 2 7
• Sidewall exceeding 60' requires additional side 2" 10' setback - 3 0 .
setback for every 1' over 60' in length. Not required 2"/1' over 60'
if building wall is 10' -0" or greater of being parallel to
a side lot line. 1
• Rear Yard 25' S 0 -F
• Patio Door: provide for minimum 10' deck or sign 10' side)
statement indicating no deck will be built in the future 25' rear
• From 100 year flood elevation of wetland /NURP 30'
pond.
• Refer hi-ground pools to the Planning Department
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no _
less than 50'
V19 - Z. 14 0(0 71214-
Floor Area Ratio: NA 1 FAILS 1 CO) IES .30 Maximum 1 .1 Z
Yard Encroachments:( FAILS /COMPLIES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
NC and other equipment cannot encroach on interior
side yards.
Tree Preservation: / �V�/ FAILS 1 COMPLIES Standard l Proposed
• Total caller inch's
Tot p
• Permit 35% Removal
• Caliper Inches Renjoved
• - Caliper Inches P,rjserved
• Rlacementf ' :
L : \T
/
Driveway: NA / FAILS / CO IJOL _ Standard Proposed
• Maximum width at prop ne 24' 2-4'
• Required setback • 5' from side lot line or
30' from r -o -w on corner lots ' 30 4
• Maximum slope _ • 10% '__z • 1 3 Z �'
• All parking areas to be paved including R -V or —
spaces adjacent to the garage
• Location to match subdivision grading plan - Ni&.
Building Height: NA/ FAILS / COM' • 35' Maximum 1
Shoreland District: NA / FAILS 1 MP IES • Standard Proposed I
Minimum lot area (square feet) __ 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum v>
Bluff in Shoreland: / FAILS / COMPLIES
Standard Proposed I
• Setback from t. if bluff By planning dept.
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted/approved By City Engineer
• Grading in bluff or bluff impact zone No importing /exporting •
Fioodplain: / FAILS 1 COMPLIES _ Standard Proposed
• 100 ye i ood elevation 908.9' Prior Lake
_ 914.4' Spring Lake
• Lowest floor elevation 909.9' Prior Lake /
_ 915.4' Spring Lake
• Proposed lowest floor elevation Must be 1' above flood •
elevation for new and existing
•
structures. If existing
structure was constructed
9119/90- 11/22/97 then
additional foot is not required.
• Elevations 15 feet from structure Must be flood elevation or
higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation _ 913.4' for Spring Lake
Accessory Structure: it / FAILS / COMPLIES_ ' Standard Proposed I
• Size ( -� 1000 sq,ft. or 30% rear yard
• Not located in front yard (Materials)
• Side yard and rear yard setbacks 10'
• Maximum height 15'
• Materials compatible with principle structure.
L :ITEMPLATE\BLD GLIST.D O C
e
U ,er
�, ��� White - Building
�P Canary - Engineering
N " ESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/r../. "7 4 _ 1-17.# 0/ > i /j! C" 7 --
Accepted Accepted With Corrections
Denied
Reviewed By: Date: 3' 0.13
Comments: See Reverse Side for Additional Information!
Pow Way r1uS+ 114 /e CJ✓IC. It f f/Da (A.
P r4/A/ Fite-e" /7 L EI/ "\/ p'
A-Art) r ce%f
See Attachments: 1) Grading Plan, 2) Erosion Control Standards
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIp
ti
U m
J TNESO
White - Building
CanaryPink - En Planning gineering
-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT S V)f"t% 'E CONe270 4
APPLICATION RECEIVED - 13 - 13
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/( 74- /-t% ✓r- - - i E e.7--- . .
Accepted Accepted With Corrections
Denied
Reviewed By: / 4 — Da te : 17 '.--) 5 C 5 Comments: e Q,& c.. r? c �' '' /V ( &j -/`/
re,- 4-F A-c,____ T„ „ _- -. -, c _
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIp
(--
.
.4,.
Er TV x
U r trf
White - Building
�,, �P Canary - Engineering
NNeso Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied __
Reviewed By: / Date: Z`? t `5
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
0',. .c, PRio CITY OF PRIOR LAKE Y Date Uee'd
A. ;; HEATING /AIR CONDITIONING /FIREPLACE PERMIT g /zit / 3 •
Al
y PERMIT � �
'J�NNP:SU/ A 1. Fink Fils i JC'elilYll 1 I Y O, .- •-- .__ -._
3 . Z Qiq' ff — - -
3. Zit, ANNIIc0M L, _...__.. MI � 2 /
(Please type or print and alga at bettoui) -
ADDRESS ZONENG (office use)
1L914 awKiva. ou�
• • LEGAL DESCRIPTION (office use only) / /- ;-y�,� ______, _ LOT /! BLOCK / ADDITION e4v83 t Nd the ` N ees PID Z� vbz ofi-o . _
OWNER
(Name) SAS t? Ga l ' tJC J— r . (Phone) _51_ 3 5 5. . 1i7 . -.
(Address) 1 1 -18 I S gn e_ � W Y � Ape LL V./.4__. M kL — S51 91
APPLICAN /
(Name) G.C &( Me yc... (Phone) 651 .6?)A. -,?-.-)( -. --
(Address) 1. . N -Et, -, ( e,,) f 1 Tose.al / e. ___ SS W'S
f S
(Address) (City) (Zip Code)
(Contact Person) 'Ra_c { � zyr e - 4- (Phone) - -_ / _. - _ - - - -- _
APPLICANT SIGNATURE �� DATE �!_ 1 3J k .`..
. APPLICANT PLEASE COMPLETE BELOW
[ NEW CONSTRUCTION D REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT , 15 coo OU'I'PU'P _ ___.. _ .
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWatan Air Plants 0 Steam Units and Fireplaces Cannot Encroach
DGravit 0 Hot Water into Required Side Yard Setbacltr.
❑ Mechanical F.] Radiation Fireplaces with Box Additions of
DAir Conditioning 0 Special Devices
DVent. System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit. .
FIREPLACE MAKE AND MODEL }-e l- la / N QJ `Va`�G� _a --
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49,50
Residential, Heating Only (New Construction) $64,50 Residential, AC Only $49.50
Estimated Cost $ JOG, 912' Building Permit #
'The Minnesoua Statutes § 32611.148
"SURCHARGE." has been changed for one
HEATING PERMIT FEE $ year e•meaiFe
STATE SURCHARGE $ - .50 Jody I, 20 In, until Jane ;it, 2011,
TOTAL PERMIT FEE $ The minimum surcharge (or a "fixed fee" permit
(QtneeUseOnly) is 55,I 1inaing.ta1� 1.2010
This Application Becomes Your Building Permit When Approved Paid rr rr PAID v�la
Date �d n- R f - - -- -- •
liailding Official Date
Z4 hour notice for all Inspections (952) 447 - 9650, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372 -
+ Date Rec'd
pRio CITY OF PRIOR LAKE SEWER AND WATER PERMIT
E S 0 �
1 Green File
City PERMIT NO. 'L t 1 ..
. Yellow
3. Gold Applicant •
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
(P 414 P ..Lay. CI) t Aft
LEGAL DESCRIPTION (office use only)
LOT(( BLOCK ( ADDITION ITT- _,(jN ,, c k )17-A is ID c391_,0 �
OWNER , 1
(Name) • r t _ t. ti j1,22'v4 Co • (Phone)
(Address) , ., (0`3 \i P rV\ l�E/1 4 k\t (.. Vt�Y � `2€ J c3—
(Address) (City) (Zip Code) • APPLICANT
(Name) O k \ (.t) 0 r t t r19., C ,) .. (Phone) `t `(
(Address) I E q G ,1 ,l l I� :1(1.1Q t ALLA-4....t._ 10) �. `t:� 5 ' ).3 - (Adress) ( City (Zip Code)
(Contact Person)'1li A t P (Phone) f 1 G � 3`
APPLICANT SIGNATURE DATE t 13
APPLICANT PLEASE COMPLETE BELOW
Size of water service ( inches.
Location of any couplings from structure 0 feet.
Type of sewer pipe. n ABC Fq PVC ❑ Cast Iron
Estimated length of sewer line 10 feet.
Clean out (if required) located at ? feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'l & Multi - family 1% of job cost with a $51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ PAID WITH
TOTAL PERMIT FEE $ BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
oi PRI
CITY OF PRIOR LAKE Date Rec'd
6 A N1 HEATING /AIR CONDITIONING /FIREPLACE PERMIT
r NN $#
i. Pink File PERMIT NO. 2. Geen Ciiy
3 Yellow Applicant • �'
(Please type or print and sign at bottom)
ADDRESS 0
1 1 �r� , n ZONING (office use)
I LY 'l T _ �G,UJ c i .1 •. • ,, \NAN/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER n
(Name) � Yom- � L1/.7 (1 . (Phone) - 15a - M3 ' [RN
(Address) l9B 1S 2.r W ) Npplit \J (1,U, 4 rn 5, ) '
APPLICANT _ f
(Name) Pc\ C 1 I �y� � t-e- O.. CO...- \v C.. `, (Phone) 'Ill- + y2 T �(
(Address) 16 411 Al - c s� rN S, \ E N ' in 553Cb
(Address) ) (City) (Zip Code)
(Contact Person) Ob....Lk ' l.
-V n (Phone)% - )-( tv / '4- J 5 a
APPLICANT SIGNATURE i7ii/Iisr/..r�tL , DATE 9 � . 13
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL 3Cy(PA q; sl),,Nmlwhs l '. FUEL Kkxk. (S
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑ Gravity ❑ Hot Water into Required Side Yard Setbacks.
GI Mechanical ❑ Radiation
12I Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑ Vent. System El Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi - Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
' Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ wilding Permit #
HEATING PERMIT FEE $ PAID WITH
STATE SURCHARGE $ .50 BUILDING PERMIT
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
0 ,01r1
. PRIp Date Reed ti
CITY OF PRIOR LAKE PLUMBING PERMIT
41674Eso'cl t \ ..,. _ rt yu.C. w. / / / /, (//!i
pad oty LPERMIT NO.0 i �� � �/
s. vaww Apph rn
(Please type or print and sign at bottom)
ADDRESS C)l� ,{ 1L-t{ \--\1/ ' ZONING (orrice use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) _ -- (Phone)
(Address)
(Name)
APPLICANT cs �C3 " +U., 1 1 l ,. LC (I, Q2ie) - k...4t..¢ - 1 - {c13
-. ` ." C ` ; - \ g li t 8C ).. -- J -7 2—
(Address) i
(Address) (City) (Zip Code)
(Contact Person) . //: ' 7:'''' .. b eitcY (Phone) I - f ` ( >>5
APPLICANT SIGNATURE DATE 'J i 1 / / 3
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
2 Bath Tub with or without shower Rough-ins
I Dishwasher ( Water Ileater
t _ Floor Drain Water Softener
(,o Lavatory (Bathroom Sink) 1 Stand Pipe (Washing Machine)
l Laundry Tray (1 or 2 compartment sink Sewage Ejector
'L- Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
ti
Bar Sink Lawn Sprinkler
Water Closet oilet Other
FEE SCHEDULE
Industrial, Commercial & Mufti-family 1% of job cost with a 549.50 minimum Reside • +'al New One & Two- Family S149.50
dential, Additions & Alterations 549.50
The Minnesota Statutes § 32613.148 ist $ But Mg Permit #
"SURCHARGE" has been changed for one
year effective PLUMBING PERM EE $
July 1, 2010. until June 30, 2011. STATE SURC ' 4' GE $ 5,, a c �` C. ®�
The minimum surcharge for "fixed fee" permit TOTAL P '4 T FEE $
is ss, beginning July t, 2010 0
This Application Becomes Your Building3',ermit When Approved Paid ` I T' ipt No.
Date 1E0 By
13uildlae Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
/ .
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /( 7 fi /0/WK ioG �l
NATURE OF WORK .S'
USE OF BUILDING XaS`
PERMIT NO. /3, 2.11 DATE ISSUED
CONTRACTOR is A, i r A _ 1 'HONE 952, 3S$. 1301
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING X
FOUNDATION (Prior To Backfill) 1
RADON RETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC y
" , ,1
FRAMING " f a
INSULATION l d-2 1-1 - /
ELECTRICAL
PLUMBING ,0/3
HEATING etS 4/Z*/..>
FIREPLACE
GAS LINE AIR TEST ,t
RADON PI PINE ' PA sG&
COVER NO WORK UNTIL THE ABOVE HA BEEN SIGNED
1 HOUSEWRAP � LATH I ( -
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING /2 f)
ELECTRICAL
PLUMBING to
HEATING 6 t 6" 7 -
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIG
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections and
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850